Galloway, Grace Liem

Galloway, Grace Liem is an individual health care provider with primary practice located at 1781B S Main St , Laurinburg NC 28352-5407. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Community Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Galloway, Grace Liem can be contacted via phone (980) 322-5447.

Contact Information

Primary practice address
1781B S Main St Laurinburg NC 28352-5407
Phone: (980) 322-5447
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201922 North Carolina
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 201922 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 201922 North Carolina

Profile Details

NPI number 1518178003
LBN Legal business name Galloway, Grace Liem
Credentials NP, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518178003 NPPES
North Carolina MEDICAID 7005175

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